S&C QCOR HHA 2567s
d QCOR:  Quality, Certification and Oversight Reports.
HHAs 2567s
Selection Criteria

Time Interval

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Provider Characteristics

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Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific HHA deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
237268 Caring Nurses Of Michigan, Inc 803 Big Beaver Rd, Suite 357 Troy MI 5 (Chicago) 10/04/2018 OZ2T11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
E0021 HHA- Procedures for Follow up Staff/Pts. Standard
E0030 Names and Contact Information Standard
E0031 Emergency Officials Contact Information Standard
E0032 Primary/Alternate Means for Communication Standard
E0036 EP Training and Testing Standard
E0039 EP Testing Requirements Standard
G0798 Home health aide assignments and duties Standard
G0806 Supervision of home health aides Standard
G0434 Participate in care Element
G0574 Plan of care must include the following Element
G1014 Interventions and patient response Element
G1022 Discharge and transfer summaries Element
237272 Bay Nursing, Inc 255 North Bailey St Romeo MI 5 (Chicago) 11/03/2023 615CD-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0798 Home health aide assignments and duties Standard
G0434 Participate in care Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0800 Services provided by HH aide Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
237272 Bay Nursing, Inc 255 North Bailey St Romeo MI 5 (Chicago) 12/03/2020 H2XB11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0578 Conformance with physician orders Standard
G0798 Home health aide assignments and duties Standard
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G1022 Discharge and transfer summaries Element
237274 Great Lakes Home Health Services, Inc 209 E Washington Ste 450 Jackson MI 5 (Chicago) 01/18/2023 5EBA2-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
237274 Great Lakes Home Health Services, Inc 209 E Washington Ste 450 Jackson MI 5 (Chicago) 05/13/2021 N9ED11 Complaint, Focused Infection Control, Other-Fed
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0570 Care planning, coordination, quality of care Condition
G0590 Promptly alert relevant physician of changes Element
G0602 Communication with all physicians Element
G0608 Coordinate care delivery Element
237278 Home Pro Care, Inc 27908 Orchard Lake Rd, Suite A Farmington Hills MI 5 (Chicago) 10/12/2023 61309-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
237278 Home Pro Care, Inc 27908 Orchard Lake Rd, Suite A Farmington Hills MI 5 (Chicago) 12/14/2022 5E7F6-H1 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0680 Infection prevention and control Condition
G0687 COVID-19 Vaccination of Home Health Agency staff Standard
G0574 Plan of care must include the following Element
237278 Home Pro Care, Inc 27908 Orchard Lake Rd, Suite A Farmington Hills MI 5 (Chicago) 10/15/2020 R7L911 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0490 Accessibility Standard
G0526 Content of the comprehensive assessment Standard
G0774 12 hours inservice every 12 months Standard
G0798 Home health aide assignments and duties Standard
G0862 Laboratory services/CLIA waivers Standard
G0942 Governing body Standard
G0446 Contact info Federal/State-funded entities Element
G0574 Plan of care must include the following Element
G0610 Patients receive education and training Element
G0710 Provide services in the plan of care Element
G0946 Administrator appointed by governing body Element
G1022 Discharge and transfer summaries Element
237279 Schoolcraft Memorial Hospital 7870 W Us Highway 2 Manistique MI 5 (Chicago) 12/07/2023 619DA-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element
G1012 Required items in clinical record Element
237279 Schoolcraft Memorial Hospital 7870 W Us Highway 2 Manistique MI 5 (Chicago) 11/18/2020 B8CH11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0528 Health, psychosocial, functional, cognition Element
G0574 Plan of care must include the following Element
G0710 Provide services in the plan of care Element
G0808 Onsite supervisory visit every 14 days Element